San Francisco Tuberculosis
For the Three Years Ending
December 31. 1920
Telephone Franklin 3293
Organized 1903 Incorporated 1911
1547 Jackson Stree
JOHN S. DRUM
MRS. HENRY PAYOT
WM. H. CROCKER
WM. C. VOORSANGER, M. D.
Mariana Bertola, M. D.
W. B. Coffey, M. D.
Wm. H. Crocker
John S. Drum
Rev. C. S. S. Dutton
Jas. J. Fagan
Chas. AY. Fay
Miss Alice Griffith
Most Rev. Archbishop Edw. J.
Hanna, D. D.
Mrs. Wm. Haas
Thos. E. Hayden
A. W. Hewlett, M. D.
Chas. G. Levison, M. D.
Mrs. Alfred McLaughlin
Herbert C. Moffitt, M. D.
Mrs. Henry Payot
Harry M. Sherman, M. D.
Wm. C. Voorsanger, M. D.
Philip King Brown, M. D. Mrs. Wm. Haas
W. R. P. Clark, M. D. Wm. P. Lucas, M. D.
Mrs. Wm. H. Crocker Mrs. Henry Payot
Rev. C. S. S. Dutton Ernest L. Walker, M. D.
George H. Evans, M. D.
Mary W. Harris, M. D.
CHAIRMEN OF STANDING COMMITTEES
CO-OPERATION ...Dr. W. R. P. Clark
EDUCATION Dr. Wm. C. Voorsanger
FINANCE . Mrs. Wm. H. Crocker
HOSPITAL AND DISPENSARY Dr. George H. Evans
MEMBERSHIP Mrs. Wm. Haas
OPEN AIR SCHOOL ...Dr. Wm. P. Lucas
PUBLICITY Rev. C. S. S. Dutton
RELIEF Mrs. Henry Payot
SANATORIUM Dr. W. R. P. Clark
JACKSON STREET CLINIC
Dr. H. Kronenberg
Dr. Lester Newman
Dr.. Lester Newman
Dr. W. E. Glaeser
Dr. W. R. P. Clark
Dr. Philip H. Pierson
UNIVERSITY OF CALIFORNIA
Dr. Lewis S. Mace
Dr. H. Kronenberg
OPEN AIR SCHOOL
Dr. Mary W. Harris
Miss Alice Cussen
Miss Margaret Gowan
Miss Louise Hadeler
Miss Mary B. Ogden
Miss Edna D. Porter
Miss Julia Stocklin
(Board of Health)
Miss Mary C. Bushard Miss Anna H. De Vinne
Miss Helen M. Stack
To foster study of the causes of tuberculosis and means of pre-
venting it ; to seek out its breeding- places and to co-operate with
scientific and other agencies in their efforts to eradicate them ; to
work along educational lines to remedy the conditions that permit
the disease to thrive; in short, to work along broad lines directed
toward ultimately eliminating the disease and the suffering and
waste of human life that are the toll of tuberculosis —
These are the purposes of the San Francisco Tuberculosis
Association, the objects that impel it annually to call upon the
public-spirited people of San Francisco for the voluntary subscrip-
tions which provide the only means by which its work can be car-
It is not the purpose of the Association, nor in any way its true
function, to assume nor discharge those responsibilities in connec-
tion with the public health which properly belong to the munici-
John S. Drum,
Report of General Secretary
In a measure the whole tuberculosis campaign is educational.
Not only is the person afflicted with tuberculosis taught how to get
the best results from his treatment and how to avoid infecting
others, but the community as a whole is becoming more alert to
the possibilities of preventing this disease. People are gradually
becoming aware of the fact that tuberculosis is a preventable
The death rate from tuberculosis in San Francisco has de-
creased during the past year. There are annually about 150 deaths
per 100,000 of the population as compared with 200 per 100,000 of
ten years ago — a 25 per cent decrease. (The rate in the registration
area of the United States is 140 per 100,000 population.) For the
fiscal year ending July 1st, 1920, the total number of deaths from
tuberculosis numbered 740. Of these, 605 were from tuberculosis
of the lungs, 135 from other forms of tuberculosis. For the year
1918-1919 from all forms of tuberculosis there were 964 deaths — 852
'from pulmonary tuberculosis — 112 from other forms.
In all lectures and in the individual teaching of patients by the
nurses certain fundamental principles have been kept constantly in
(a) That the infant must be protected.
(b) That young children who have been exposed to tuberculosis
must have special care and attention while immunity is being
(c) That the incipient case of tuberculosis is curable in the majority
(d) That the cured consumptive is not a menace.
(e) That the careful consumptive is not a menace to other adults.
(f) That the careless consumptive should be placed where he will
be unable to endanger the health of others.
Much effort has been made during the past three years to
locate the men who were rejected by the local draft boards, men
rejected from the training camps, and soldiers who were discharged
from the army on account of tuberculosis. The names of rejected
and discharged soldiers were sent by the State Association to the
Local Association and follow-up work was done in each case where
the individual could be located. Over one thousand names were sent
to the San Francisco Association. These names were given out to
the visiting nurses and at least one visit was made to the individual.
If the Government was still caring for him or if he had means to
pay for care in a private sanatorium such information was reported
back to the State ; but, in case he needed special instruction and
supervision he was looked after by the Association through its
clinics and nurses. Some of the discharged soldiers have visited
the Association clinics of their own accord, having learned the value
of periodic medical examination. As a result of training in the army
they appreciate the value of paying more attention to matters oi
That the public in general is becoming better informed and
giving more thought to physical well-being is proven by the fact
that the office of the Association is put to greater use each year.
Every day there are calls for information through the mails, by
phone and by personal visits.
Nearly two hundred lectures have been given during the past
three years, and at each lecture a generous distribution of literature
is always made.
Tuberculosis Week is one of the educational features each year.
During the Seal Sale, the clergy of the city observed Tuberculosis
Sunday by special reference to the work of the Association and
aided in spreading the message of "better health." Tuberculosis
Day was observed in the schools of the city and appropriate litera-
ture was sent to the teachers.
The Boy Scouts have shown special interest in the work and
one or more lectures have been given to each troop.
The Association has had a booth annually at the Auditorium
during Baby AY elf are AYeek and a lecture on Tuberculosis was
given by some member of the staff.
On October 5th, 1920, an organization meeting of the Central
Council of Social and Health Agencies was held. The San Fran-
cisco Tuberculosis Association was represented by Dr. Lucas, Air.
Dutton and the General Secretary. Dr. Lucas was elected president
of the newly 'formed organization.
One manifestation of the results of the educational campaign
is the awakened interest in the health of the children of the city.
The women's clubs and other organizations have become interested
in having better medical inspection in the schools.
The Public Health Division of the San Francisco Center of
California Civic League recently made a survey to ascertain the
amount of work the city was doing to improve the health of school
children. There is a general feeling among social and health work-
ers that a weighing and measuring campaign should be started
among the school children. Knowledge resulting from such a sur-
vey would 'form the basis for future constructive work.
Dr. Win. C. Voorsanger has acted as chairman of the Educa-
YYell directed publicity is the most effectual way of educating
the public to the truths concerning tuberculosis. In addition to the
60,000 educational letters which are sent out during the seal sale
there is a generous distribution of educational literature constantly
being made. Patients who visit the clinics receive literature, the
nurses distribute literature in the homes, shops, factories and else-
Health exhibits, health talks, illustrated lectures, films and
slides in moving picture houses, the bill boards, the daily papers,
are all used routinely for the purpose of spreading the knowledge
which shall lead to better health.
Mr. C. S. S. Dutton has act id as chairman of this Committee.
San Francisco Tuberculosis Hospital.
Hospital and Dispensary.
The Association maintans five clinics at the present time.
Special praise has been given by other social and public health
workers for the efficient work done in the Association clinics.
The Board of Health has furnished three nurses during the
past three years. Until September, 1920, the Association paid the
salaries of five nurses ; since that time, one more has been added
to the list.
Too much praise cannot be given the nurses for the very im-
portant work which they do. It takes patience, tact and intelligence
to get the best co-operation from those we are attempting to help.
The nurse in her follow-up work is able to reach a large number
of people who could not be reached in any other way. Many of
these people never attend lectures, do not read much, and never
make any attempt of their own volition to gain knowledge, but will
listen to the nurse when she has once gained their confidence.
The attendance at the clinics for 1920 has been better than in
any previous year of the Association's history. Five thousand
eight hundred and fifty visits have been made by patients to the
clinics, against 5779 in 1919.
Seventeen hundred twenty-three patients have been secured
during the year. Seventeen hundred and thirty was the total in
The nurses have made 16,515 visits during the year, against
16,246 in 1919.
On the invitation of Mr. Drum, Dr. Hassler, Dr. Moffitt, Dr.
Hewlett and others interested in tuberculosis work have several
times attended the meetings of the Executive Council. Constant
effort has been made to persuade the city to take over the clinic
work which the Association has been doing for several years.
Dr. George H. Evans, who acts as chairman of the Hospital
and Dispensary Committee, has plans for a program which will
mean the development of nutrition clinics for the children of San
Porch for Tuberculosis Patient.
In May, 1920, the Executive Council voted three hundred dol-
lars to be used for occupational therapy at the San Francisco Tuber-
culosis Hospital. The California Tuberculosis Association paid the
salary of the worker for nine months.
At the end of six months a report was made by Miss Blevins,
the instructor, to the effect that sixty-four patients had been en-
gaged in the work and that the results in general had been good.
The physicians in charge reported no untoward results.
An initial appropriation by the Board of Supervisors of $50,000
toward the cost of the first unit of a sanatorium was included in the
budget of 1918-1919. During- the year no suitable site was found.
An additional appropriation of $50,000 was included in the 1919-
Much effort has been made by President Drum, and Dr.
Clark, who acted on a special committee appointed by the Mayor,
to bring the campaign for an outside sanatorium to a close. All
felt that the goal had been attained when the purchase of Nippon
Mura near Los Gatos was made. On account of legal proceedings
instituted by the citizens of Santa Clara County all progress for
the development of a tuberculosis sanatorium has been stopped
The members of the Association are extremely anxious that
some decision be arrived at in order that the work of building
may go forward. The crowded condition at the San Francisco
Tuberculosis Hospital makes it imperative that some place be
provided in order that more patients may have the benefit of hos-
pital and sanatorium care. Aside 'from the advantage derived from
removing the patient to a place where he is not a menace to others,
much benefit is gained by the patient in learning how to take care
of himself so that he will best stand a chance for recovery and also
how he may become a safe person to live with.
Yard — Mission Clinic-
Open Air Schools.
The Michelangelo Open Air School is maintained by the San
Francisco Tuberculosis Association in co-operation with the Board
of Education. The Association pays for physician, nurse, matron,
food, drugs, etc. The Board of Education furnishes the teacher
and supplies the class-room equipment for the school. There is no
charge for attendance at the school and twenty-five children are en-
rolled at one time. As fast as the children are sufficiently improved
in health, they are dismissed and new ones accepted from a long
waiting list. Most of the children gain in weight from the very
first week of their admission. About forty children are cared for
annually in this school. The average gain per child is about nine
pounds a year. Some of the children gain as much as fifteen pounds
during the year. The children are visited daily by a nurse, and
weekly by a physician. Throats are examined and swabbed rou-
tinely, the children visit a dental clinic regularly, tonsils and ade-
noids are removed when necessary. All corrective work is done as
soon as possible after the child is admitted to the school. The
school has been in operation five years.
It costs the Association about fifteen hundred dollars a year t'»
maintain this school, exclusive of physician and nurse.
Buena Vista School.
About two years ago an open-window room was established in
the Mission District. The need for this second school for pre-
tuberculous children had long been felt. There were always a
( )pen Window Room, Buena Vista School
number of children attending- the Association's clinic in this section
of the city who needed special care.
A few hundred dollars expended on one of the city's oldest
school buildings transformed an ordinary school-room into a fine
open-window room for the accommodation of twenty-five children.
The daily regime is a little different from the first school established
by the Association. The children have a show r er bath each morn-
ing, and a cup of milk at the morning recess. They bring the
greater portion of their lunches from home. These lunches are
supplemented with milk and hot chocolate daily. A simple menu
is made out for the week by the nurse. For instance, in addition
to the sandwiches brought daily, some fruit, an egg, a raw potato
or a jar of meat and vegetable stew is furnished by each child. The
pupils from the domestic science class of a near-by high school have
helped prepare the lunches in a convenient kitchen adjacent to the
school-room. This arrangement has been mutually helpful. A
commodious dining-room accommodates the children at lunch time.
Once a month the children report to clinic for examination.
They have made an average gain of nine pounds per year. It costs
about five hundred dollars per year for milk, chocolate, sugar, sup-
The results obtained from caring for poorly nourished children
in these schools have been good. It is a source of gratification to
see an undersized, anaemic child become rosy-cheeked and lively in
a few weeks' time.
It is to be regretted that there are not more open-air schools
in San Francisco, as the climate is well suited to this type of school-
room. A child with extra clothing can be made comfortable in an
open-window room the year round.
In order that the work of the open-air schools may not be lost
during the summer months, the San Francisco Tuberculosis Asso-
ciation has arranged to care for twenty-five children at Hill Farm.
Children not robust enough to attend school regularly will be cared
for at the Farm during the entire year.
Since July 1st, 1920, the Association has been paying for
twenty-five children at Hill Farm.
One hundred and three children have been cared for to date.
The average stay has been one month ; the average gain has been
one pound per month.
Miss Elizabeth Ashe, the superintendent, has plans 'for the
erection of a modern preventorium for children. The location of
the farm is almost ideal. There is abundant acreage, a dairy and
a poultry farm.
The medical work at the preventorium is under the direction
of Dr. Wm. Palmer Lucas.
Supported the Owen-Dyer Bill for increased rank in the Med-
ical Corps of the Army, and urged the adoption of Surgeon Gen-
eral Gorgas' plan for reconstruction of disabled soldiers.
It supported a Bill for the establishment of a Child Hygiene
Bureau and supported Jones Bill Xo. 318, which increased the sub-
sidy for tuberculosis work from $75,000 to $200,000.
It opposed "Dental Initiative" Amendment and Xealon State
Sanatorium Bill Xo. 7.
The members of the Association carried on a campaign against
four anti-health measures which came up for the November, 1920,
election, namely. Amendments Xos. 5, 6, 7 and 8.
A campaign to secure an initial appropriation of $50,000 for an
outside sanatorium resulted in that sum being included in the 1918-
As this money was not used for the purchase of a sanatorium
the efforts of the Association were renewed and $50,000 was appro-
priated in the 1919-20 budget.
An additional $50,000\vas included in the 1920-21 budget.
Investigation and Legislation.
During the past two years Dr. Herman Kronenberg has given
one or two Health Talks each week in the shops and factories. A
spirit of co-operation and interest has been shown by many superin-
tendents and managers and there seems to be a feeling that the
physical well-being of industrial workers is a thing which must be
better worked out in the future. Employers of labor are realizing
more and more that it is to their financial interest as well as a
humane act to keep their workers in fit condition.
The Association has interested itself actively in various forms
of legislation — local, state and national.
The total membership of the Association is now 834. Of these
30 are life members, 76 annual donors, 186 sustaining members and
5-42 contributing members.
Mrs. Wm. Haas has acted as Chairman of this Committee.
Thirty new members have been secured during the past three
Relief and Co-Operation.
Good co-operation has been received from other social, health
and relief-giving organizations both municipal and private. The
California Tuberculosis Association has given assistance to the
local Association in many ways. Among those frequently called
upon for assistance may be mentioned the Associated Charities, the
two Universities and San Francisco Hospitals, Arequipa Sanato-
rium, Board of Health, Board of Education, San Francisco Social
Service Exchange, Catholic Humane Bureau, Hebrew Board of
Relief, Red Cross, Fruit and Flower Mission, Telegraph Hill Settle-
nient, Salvation Army, Society for Prevention of Cruelty to Chil-
dren and Juvenile Court. The workers of the San Francisco Inter-
national Institute for Foreign-born Women have been especially
kind in giving their services as interpreters whenever needed.
The Association gives temporary relief to patients in urgent
cases, furnishes free drugs and X-ray plates whenever they are not
able to pay. In special cases patients have been paid for in sana-
toria. Two hundred and fifty beds for tuberculous patients are
furnished by the San Francisco Hospital.
At Christmas time the children of the Open-Air Schools re-
ceived sweaters, underclothing, books and toys. Gantner and Mat-
tern donated twenty-four children's sweaters ; The Bulletin, one
hundred sweaters for the children in the open-air schools and
clinics. Mr. J. J. Tynan donated fifty sweaters for the children of
the open-window room, Buena Vista School.
Several of the children were fitted with shoes at the "Shoe
Party" given by the San Francisco Examiner at the Civil Audi-
Mr. Gus Lecker of the [Monarch Shoe Company donated sev-
eral pairs of shoes for the children of the open-air school.
Through the kindness of [Mrs. Wm. Haas, the Association has
been able to purchase food for open-air school children at wholesale
The Needlework Guild donates two sacks of children's clothing
each year to be distributed by the nurses.
The list of kind people who have aided in this phase of the
work is long. Hardly a day passes without some manifestation
of unselfishness from those who have not forgotten to sympathize
with their less fortunate fellow-beings.
[Mrs. Henry Payot receives a monthly relief report from the
nurses and saves them advice and assistance in their work.
[Mrs. Wm. H. Crocker has continued to act as chairman of the
Finance Committee. [Mrs. Crocker, in addition to her own gener-
ous donation to the work, takes an active interest in the financiaal
well-being; of the Association.
Christmas Seal Sale.
Although no Christmas Seal Campaign was conducted in 1918,
the 1919 campaign showed the generous spirited people of San
Francisco had not forgotten the meaning of the little seal. A quota
of twenty-five thousand dollars was assigned to San Francisco by
the State Association. The returns from the sale amounted to
A number of booths were placed in some of the principle build-
ings in the business districts of the city. This work was under
the direction of [Miss Helen Garritt, who devoted much time to
make this a success.
The 1920 Christmas Seal Sale was equally satisfactory. The
returns from the 60,000 appeal letters and sales in stores and other
public places amounted to a little over $36,600. Mrs. Wm. Haas,
through individual effort, raised over $700. Mrs. Henry Payot,
who had charge of a table in one of the stores, collected over $600.
The donations ranged from a few pennies to one hundred dol-
lars in amount. Inspiring letters, filled with words of commenda-
tion and good wishes, were received during the sale.
The work of preparing the seals and letters for the mail was
done by volunteers, who gave generously of their time. For sev-
eral weeks preceding the sale, groups assembled at the Association
Headquarters both day and evening to assist in this part of the
work. To all those who assisted, either by the donation of time
or money, the Association extends its cordial thanks.
The Executive Council meets twice each month to outline
plans of work for the Association and to discuss the best methods
for carrying on the various activities.
Dr. A. H. Giannini, who had acted as Executive Secretary
since 1912, resigned in May, 1919, as his business interests called
him East. Dr. Giannini had always taken an active part in the
work of the Association and had given much time and effort to
make the work a success. It was with deep regret that the mem-
bers of the Council accepted his resignation.
Dr. Harry M. Sherman was appointed to fill the vacancy caused
by the absence of Dr. George R. Hubbell.
The Council, as well as the community at large, was greatly
saddened by the sudden death of Mr. Lilienthal in June, 1919. It
had been Mr. Lilienthal's custom to preside at the meetings of the
Council and he had always had the welfare of the Association very
much at heart. He had a deep and sincere sympathy for the un-
fortunate individual afflicted with tuberculosis and was most
anxious to do all in his power to bring about better conditions.
The Board of Directors, at a special meeting, named Mr. John
S. Drum for President and felt that the Association was extremely
fortunate when Mr. Drum was induced to accept the nomination.
The members of the Council give freely of their time to attend
the meetings — nearly all the members usually being present.
Whenever necessary, a special committee is appointed to investi-
gate any question.
A number of special meetings have been called in regard to the
sanatorium situation and other important matters.
Through the efforts of the president, Mr. Drum, the name of
the Association has been changed to the San Francisco Tubercu-
losis Association, this being in line with what the National, State
and other local associations have done.
SAN FRANCISCO TUBERCULOSIS ASSOCIATION
Statement of Receipts and Expenditures
January 1, 1918, to December 31, 1918.
Balance— January 1, 1918 $ 4,908.01
Red Cross Seals $20,457.27
Open Air School 60.00 4,171.10
Annual Donors.... 321.00
New 231.00 1,472.00
Interest on Savings Deposits :
Bank of Italy 205.47
San Francisco Savings &
Loan Society 174.12
Savings Union Bank &
Trust Company , 161.60 541.19
Supplies sold 14.85 26,656.41
General and Administrative ....$10,015.20
Mission Clinic. .., 3,606.68
Jackson Street Clinic. 2,539.30
Open Air School 1,519.99
Stanford Clinic... 1,108.30
Relief Committee 288.01
Educational Committee 211.60
Red Cross Seals— Printing 7.00 $19,296.08
Balance — December 31, 1918:
Bank of Italy 4,443.55
Savings Union Bank & Trust Company.. 3,841.96
San Francisco Savings & Loan Society.. 3,785.37
Undeposited Cash.... 97.00
Crocker National Bank 80.46
Petty Cash 20.00 $12,268.34
JAMES O. SULLY,
Certified Public Accountant.
SAN FRANCISCO TUBERCULOSIS ASSOCIATION
Statement of Receipts and Disbursements
January 1, 1919, to December 31, 1919.
Balance— January 1, 1919.. $12,268.34
Red Cross Seals $30,338.84
Calif. Assn. for study and pre-
vention of tuberculosis 11,929.80
Open Air School 115.00
Relief 26.00 2,783.50
Membership Fees :
Annual Donor 351.00
New 12.00 1,327.00
Interest Earned :
Savings Union B. & T. Co.. 147.18
Bank of Italy 122.18
S. F. Savings & Loan
Liberty Loan Bonds 40.71 422.35
Miscellaneous 74.49 $46,875.98
California Tuberculosis Association $ 7,410.00
General and Administrative 6,518.92
Red Cross Seals — Printing, etc 4,563.25
Mission Clinic 3,905,31
Jackson Street Clinic 2,765.37
Open Air School — Michelangelo 1,558.27
Stanford Clinic 1,240.45
Relief Committee _ 938.05
Open Air School — Mission..... 766.81
University of California Clinic 584.15
Educational Committee 476.93
Hospital Committee. 180.00
Dental Clinic 142.15 $31,049.66
Savings Union Bank & Trust Co..— 9,339.14
San Francisco Savings & Loan Society.... 7,738.36
Bank of Italy 7,248.18
Crocker National Bank 2,238.98
Cashier's Fund 30.00
Liberty Loan Bonds 1,500.00 $28,094.66
JAMES O. SULLY & CO.,
Certified Public Accountants.
SAN FRANCISCO TUBERCULOSIS ASSOCIATION
Statement of Receipts and Disbursements
January 1, 1920, to December 31, 1920.
Balance— January 1, 1920 . „ $28,094.66
Christmas Seals $37,119.62
Open Air School 30.00
Relief 1.00 4,849.00
Membership Fees :
Annual Donors 360.00
Sustaining , 463.00
New : 5.00 1,322.00
Occupational Therapy 187.99
Interest Earned :
Bank of Italy 247.84
Mercantile Trust Co 273.14
San Francisco Savings &
Loan Society 239.13
Liberty Loan Bonds 35.63 795.74
Miscellaneous 346.64 44,620.99
Christmas Seals ..$13,628.25
General and Administrative.... 9,834.40
Mission Clinic...... 4,007.02
Jackson Street Clinic. 3,695.23
Michelangelo Open Air School 1,683.68
Stanford Clinic..".... 1,510.10
University of California Clinic 974.15
Relief Committee.. 553.53
Mission Open Air School 480.23
Occupational Therapy.. 409.84
Educational Committee 167.48
Dental Clinic 73.60 $37,017.51
Crocker National Bank ...$21,278.37
Bank of Italy... 5,247.84
Mercantile Trust Co. — Savings Union
San Francisco Savings & Loan Society.... 2,967.18
5th Liberty Loan 4^% Bonds 1,500.00
Cashier's Fund 30.00 $35.(» < )8.14
JAMES O. SULLY & CO.,
Certified Public Accountants.